| NPI | 1922828417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: HI RBT-24-359224) |
| Enumeration Date | 2024-10-10 |
| Last Update Date | 2025-01-08 |